CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Hialeah Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $245
  • Cash Discount Price: $7,024
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Hialeah Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,024. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$7,024

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $7,024 (2881%)
Insurance Median: $245 (101%)
Cash: $7,024 (2881% of Medicare)
Ins. Median: $245 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $154 - $468 63%
Medicaid / KanCare $154 - $162 63%
UnitedHealthcare $156 - $234 64%
Avmed Broad Network $161 66%
Veterans Administration Mill Bill $164 67%
Aetna $186 - $5,057 76%
Dimension Health Wc $196 80%
Workers Compensation $196 80%
Healthsun Health Plans $203 - $246 83%
Medicare (plans) $211 - $511 87%
Imagine Health $222 91%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Bristol Hospice- Miami Dade Llc $238 98%
Catholic Hospice $238 98%
Comprehensive Home Health Care Dba Opuscare Of South Florida $238 98%
Employer Direct Healthcare $238 - $245 98%
Hcr Manor Care Services Of Fl $238 98%
Hospice Other $238 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $238 98%
Seasons Hospice And Pallative Care Of Southern Florida Inc $238 98%
Veterans Administration Vaccn $238 98%
Vitas Healthcare Hospice Corporation Of Fl $238 98%
Vitas Hospice Unit Agreement $238 98%
Self Pay/Uninsured $241 - $292 99%
Cigna $246 - $2,065 101%
Longevity Health Plan $248 102%
Florida Pace Centers $281 115%
Oscar Health Plan Hix $284 117%
Bright Health Management Commercial $285 117%
Naphcare Inc $328 135%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Miami Dade Blue Select $520 213%
Bc/Bs Of Fl Health Options Hmo $671 275%
Bc/Bs Myblue Hmo Hix $676 277%
Bc/Bs Of Fl Network Blue $678 278%
Bc/Bs Of Fl Simplyblue $712 292%
Bc/Bs Of Fl Ppo $727 298%
Bc/Bs Of Fl Blue Select Exchange Non Par $746 306%
Bc/Bs Of Fl Phs $3,641 1494%
Dimensions International $4,566 1873%
First Health $4,776 1959%
Dimension Health Ppo $5,268 2161%
Commercial Non-Contracted $7,024 2881%
Self Pay - Mcd Pending 100 Percent $7,024 2881%
Single Case Agreement $7,024 2881%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals